18111 69TH PL W.PDFIIIIIIIIIIII
5351
18111 69TH PL W
117-C7 %-9 Q�
PERMIT NO:
City Of Edmo'nds'
PERMIT EXPIRES
SIDE SEWER PERMIT
Address of Construction: LID #
Property Tax Account Parcel No., L-Y�jb (OLfm no(040
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor: Wn. V, L Tiwc
Contractor License #: Ml &5 T AA-,) C Z) 5 E7 F310 Building Permit #: 7W 1
[B/Single Family' I n*vasio'n into, City �*Right-of Way: El Yes -\dNo,
Multi -Family (No. of Units *RW Construction Permit
Commercial (No. of Units '-Cros,s other "Private Property: El Yes VNo
El Puplic **Attach legal description.and copy of recorded easement.
Owner/Contractor lr
Own ;-ntr�or n u �,-aqld acknowledgement statement: Date
. I c �s W� - I - / . , -
By.siyingfor is permit Lcerfify that I have read the ' City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein..
'10
CALL DIAL-A�-DIG (1-800-0JP5555) BEFORE ANY EXCAVATION 9
99 -FOR INSPECTION CALL 425'7710220 extens'iofi,13�62
-24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REOUESTS
...... ......
. ......... FOR OFFICE USE ONLY ......
Pe . r . rn it Fee $ .. ` 3C) R ep,air Fee $
Issued By:_
Trunk Chargq $ `7 250 Date Issued: DI
Assessirrient Fee $ Receipt No:
City Permit Surcharge Fee $5.00 Total Fees Paid . ......
NOTE: JF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARPEP,.
Job Site Ready -YES NO —Date: Initial:
Partial Inspection: Initial:
Date:
Partial Inspection: Date:. Initial:
FINAL INSPECTION APPROVED: Date: Init ias�@ As-b uilt to Street F ile:
1� PERMIT -MUST BE POSTED ON JOB SITE,!�
White Copy: File Green'Copy: Inspector Buff Copy: Applicant
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CITY [IF EDMONDS SIDE SEWER AS
-BUILT
ADDRESS
18111 6 9 T H P L W
PERMIT
NUMBER 9553
HOMEOWNER J, Mc CONNELL
CONTRACTOR WESTSTAR
DATE 10/08/01
'DRAWN
iy ISMAEL ABILA
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155 6 *.
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7V-1 - I �2� Vd
HEIGHT CALCULATIONS
Original
Current Proposed
A
342.00
341.66
343.00
B
342.00
341-46
343.00
C
342.00
343.26
343.00
D
342.00
343.06
343.00
Average Grade
342.00
342.36
343.00
Datum = MH #3
342.91
cut / fill
-0.36
0.00
Height of Structure
25.00
23.58
,Maximurn Allowed
367-00
366.58
, "' " **: , - op"",-
304,
t 0
A
e
AW-
N
W 11H
*A
ifir
i
--, we
0 ArTu rr\
15S
0 -Z-4-2—.c?
LVjrr-95,TL-
W t rT o, T7—
�+-s 0 (-
3 +2, Z-�=
CALCULATIONS.
S.1 Lt
CUT 145 CY ---
FILL 52 CY LYIX 1-71 C \/$,fto Dal,
WNCE 0 CY WATER & SEWER --IMPERVIOUS SURFACE CALCULATIONS
-0 TAL 197 SPECTIONS REOD proposed Building Pad 1248 bi-
t 425-771-0220 UT. 1328 proposed Garage 704
QT SLOPE 0.10 sed patio & decks 240 SF
Propo
—fegii: Lot -fo 4*mpilike Vf—evi —Crest 'proposed Walkways 125 SF
950 SF
W —
1 -1 "1- L, 7 ftw&df�
FG—FWD-VN--d
: 0/0
f4
00 Address: Pibtii GcL-cLLPL, W APPROVE
-0 Assessor's Tax Parcel #: oact )(.+0 poor( INC JN�figWaSurface 3267 SF
TC-
8000 SF
24% 1952 SF
Lot Coverage
Date:
Owner. Westar Development Co. Inc Scale: 1"--2010"
RE c F i-V OW 80 Ave. NE
Kenmore WA 98028
JUL 2 6 205-417-2757
DEVELOPMENT SERVICES CTR- STREET F11
CITY OF EDMONDS GrAME
HEIGHT CALCULATIONS
original
Current Proposed
A
342.00
341.66
343.00
B
342.00
341-46
343.00
C
342.00
343.26
343.00
D
342.00
343.06
343.00
Average Grade
342,00
342.36
343.00
Datum = MH #3
342.91
cut / fill
-0.36
0.00
Height of Structure
25.00
23.58
,Maximurn Allowed
367.00
366.581
0
Cr.AYA�-r'
Lr Ft^
-re-,, #74
T1 6,1-�7z-,1
OAS.r7r'r-�-
7y
a
7,
40
VAvTU(>'\
�5s fly1f4a.
0 z4a,c?
10, T A fi- W.tSVT 0-it-
0
WOOL
M9.9i
11slat -
�73
Pv
3+2,2-16
eggsaaw VxWwvOW— — - .N..Nmow W .
—.6ft On do 0 M � 6NOOMMOMENOW.-XI
GRADING CALCULATIONPI �-a .Vmftmwp anions
CUT ��AJ f�
145 CY
FILL 52 CY OLYInl-71 c vit�-
BALANCE 0 CY
IMPERVIOUS SURFACE CALCULATIONS
Proposed Building Pad 1248 SF
TOTAL 197 Proposed Garage 704
LOT SLOPE 0.10% Proposed Patio & decks 240 SF
Legal: Lot 10 Olympile-viiji-e—rest Proposed Walkways 125 SF
Address: Pbti% G-L-CjIpL, W Proposed Drive, 950 SF
Assessoes Tax Parcel #: goo, 0 00 3267 SF
impervious Surface
Lot Size 8000 SF
"'PECT'ON REQUIRED Lot Covera e 24% 1952 SF
Owner: Westar Development Co. Irnffi scale: 1"--2090"
7 i927 SO Ave. NE hi-rnMD BY ENGINEERING
R E C E I V UZ:ore WA qS02S
JUL 2 6 2Gtj?&47-2757 STREET FILE
DEVELOPMENT SERVICES CTR. Date:— 9117101
CITY OF EDMONDS
HEIGHT CALCULATIONS
Original
Current Proposed
A
342.00.
341.66
343.00
8
342.00
341.46
343.00
C
342.00
343.26
343.00
D
342.00
343.06
343.00
Average Grade
342.00
342.36
343.00
Datum = MH #3
342.91
cut / fill
-0.36
0.00
Height of Structure
25.00
23 ' 58
IMaximurnAflowed
367.00
366.58
ACTL) ry\
M f4a
t 4Z,
Zra
L
TE RY CONSTRUCTION
EK R&QUIRED
/0
- 6SAYMr
I L 0
Ab7a
L
-7-25 ZFOV L 3+1 U,
A)172'IIAJ 2��M
TRACTOR IS RESPONSIBLE FOR
()WNEFVCr '
ER0110N C014TROL A D IDRAINAGE
0. +2. Z-16
comma
L ow Zo,64moo
."mow wimonno
GRADING CALCULATIONS.
e'f4
CUT 145 CY
IFILL 52 CY
.BALANCE 0 CY
US SURFACE CALCULATIONS
proposed Building Pad 1248 - SF
TOTAL 197
704
LOT SLOPE 0.10% _j Proposed Garage
proposed Patio & decks 240 SF
SF
14gal: Lot fO 6�mjjc_Vje_vj —Crest 7 Proposed Walkways 125
Addren: 112)111 &ct—L&PU Uj Proposed Drive 950 SF
A&wjwrls Tax Parcel #; coct 0(,+o 000, 0 00 urface 3267 SF
Impervious S
Lot Size 8000 SF
Lot Coverage 24% 1952 SF
Westar Development Co. Inc Scale: 1"--20'0"
Owmer.
92784*Ave.NE
e!nmore WA 98028
INSPECTION REQUIREM
g1425-W-2757
JUL 2 6 .-STREET FILE
ENT SSEFN
DEVELC0,PTM,( OF EDMONDS
C
CUSTOMER - EUC.
CONTACT
FORM
A coordbWed W11ty envbvnmem whkh maximbajobst W04 oppartwdfin to pray!* quaUty servibefor the citirem qfMnondr
YOU WILL BE GIVEN A CONFIRMATION NUMBER By EACHUTIUTy
ONCE YOU HAVE INFORMED THEM OF YOUR PROJECT.
SITE ADDRESSs
W ... !W-M-10-W
IN u. 10
Rich Afdem - 425-670-3208
You will need to provide PUD with a site plan and a completed New Service
Questiolmaire.
PUGET
SOUND
ENOW
# 4'�CJ L7 7
Doug Usi - 425-350520
Or New Customer Consbuction
DePartment - 1-888-321-7779
# I C 0 C1 P(3 () I
Rosemary Randafl- 425-7104124
Dave Hawkins - 425-7104120
You will need to provide GTE with the locsition of your project, total line
requiremem and the dute in which service is muired.
Mambm
Cable
RECEIVED
# CC, 0 714-c-n
JUL 2 6 2001
Les Pedc - 425-774-5146
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
Steve Dunphy - 425-77+7769
YOU will need to provide OVWSD with the sunrey map of yo . ur site and completia
Fora me=1n01vMp1cv1eWSav1ceAxu I
denlognmmthdormationfinmL
THIS FORM MUST BE COMPLETED AND GIVEN TO DEVELOPMENT
SERVICES STAFF AT THE TIME OF PERMIT SUBMnTAL
City of Edmonds
RECEIVED
MAY 2 0 1999
DEVELOPMENT SERVICES
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
deten-nine whether any potential Critical Areas are, 'or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography.
map, etc.) or studies in conjunction with this Checklist
to assist staff in 'completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column. below).
Owner/Applicant:
f
Name
6, 72 � S"T
Street Address
e- - - 1?6c�Z6
Z--D r--40,/s, kA")44
city State Zip
Applicant Representative:
Name
-S7e-2 ?0
Street Address
I— . - ALA
city State Zip
Date Date
(over)
c:recepdon\jana\cac1.doC
CA FILE NO.- CH ' (
Critical Areas Checklist
---------------- ---------------------------------------------
Site Information (soil s/topography/hydrol ogy/ve getation)
IGO I
Site Address/Location:
?
Property Tax Account Number: t -72--7o4 'Z - -000l
3.
Approximate Site Size (acres or square feet): 4,-7 a
4.
Is this site currently developed? yes; _ no. -
If yes; how is site developed? 6P f7
5.
Describe the general site topography. Check all that apply.
Z,-- Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
H i I I y: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 31 to 66-feet).
Steep: grades of greater than '00% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6.
Site contains areas of year-round standing water: Approx. Depth:
7.
Site contains areas of seasonal standing water: /_AD Approx. Depth:
41
do
What season(s) of the year?
8. Site is in the floodway �20 floodplain of a water course. P 0
9. Site contains a creek or an area where water flows aqross the grounds surface? lows a e year-
round? /,//,A Flows are- seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: PO
DETERMINATION
U.D/lullu"U 1U.4i 44j401z;.J1V I I M
9D 104-
NELSON-COUVRETTE & ASSOCIATES, IIVC.
CONSULTING GEoTEcHNicAL ENGINEERS, GEOLOGISTS
AND ENVIRONMENTAL SCIENTISTS
Facsimile Transmiftal
R FZC E i V"�E4 D
To: LYLk- MAR *10 2000
Company: C�rq o�- fDM4D5 ENGINEERING
Phone:
Fax. (2�2'g-) 771
From:
Company: Nelson-Couvrette & Associates, Inc.
Phone: 425-486-1669
Fax: 425-481-2510 BUILDING
. Date:
Pages Including Cover Page:
NCA File #:
cc:
Comments:
MAR 1 6 2000
rHur- U Z.
NELSON-COUVRETTE & ASSOCIATES, INC.
CONSULnNo GeorecHAicAk ENGINGERS. GEOLOGISrS
AND E.mvInONMEA(TAL SVENTISrS
173 11 -'1 35th Avenue NE, A-500 Project: OLqMRSC, VILU) UE5'r
Woodinville. WA 98072
(425) 486-`1669 - (425) 337-1669 Owner: �V)
Pax (425) 481-2510
Location:
Weather -
Purpose 0,�� k0cl
of Visit: mot -�OLr
FIELD REPORT
File No. 2 �_ 14-19 q
Date :
Report No.
Page: Of L4
By: A4) k,
&F UjUyf -TO 6ALATf- CUM WE- A&I
1_0 T7 1 LL, co m-li r� rv, o o
1-40� AQ,\�ht U�f At=-f L)MH LILL. Lf_.Er,�? '-)F Tf , Uie'-&-s
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LOCO: f�Mkl4jr-,Q AL00;. tso7l` -c,-r _<0 -rljfjy�H Kccr� i-AY&,< -ra
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Attachments:
Distribution:
K Ff
03/10/2000 10:45 4254812510 NLLz)UN-UUUVKLl1L rkklr- Ua
NELSON- COUVRETTE & AssOCIATES, INC.
co,ovsum.ovG GEorECHAIICAL ENGINEERS, GEOLOGISTS
AIVO ENVIRONMENTAL SCICNMrS
Project:
17311 -1 35th Avenue NE, A-500
Woodinville, WA 98072
(425) 486-1669 - (A25) 337-1669
Fax (425) 481-2510
Owner:
Location:
Weather:
Purpose
of Visit:
FIELD REPORT
File No 2-6 *11 --
Date: 63/2/00
Report No. 14
Page: 2- of
By: AID P,
P0--l-rrY MLkn OF T-*-- 150" SK SAJ C-044 Ljt3f- A f�P L-05 11.1- tAET7 OL
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Distribution:
=asm� CoviwrrE & Ass oct4TES, INC.
IN -PLACE MOISTURE AND DEIVSITY TESTS
JOBNUMBER:
264119
PROJECT NAME:
0L%?M?jC, Vlfu) CPfS-r
LOCATION:
EDMOADS
REPORT
NO.:
PROCTOR METHOD: ASTM D - 698-91
ASTM D - 1557-91
TESTS CONDUCTED 13y:
MQP,
2BLOWSFAIL
TEST
DATE NO,
—
GENERAL
LOCATION
APPROX.�APPROX.
FEETTO
GRADE
FILL
DEPTH
%
MOIST
WET
DENSITY
DRY
DENSITY
I
MAX %
DENSITY COMP.
%
SPEC
COMMENTS
PASS
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